Clinical trial
Pilot Study: Oral Treatment of American Tegumentary Leishmaniasis (Cutaneous and Mucosal Forms) in the Elderly
Name
57768421.0.0000.5558
Description
Randomised clinical trial comparing oral miltefosine associated with pentoxifylline to intravenous liposomal amphotericin b for the treatment of cutaneous and mucosal leishmaniasis
Trial arms
Trial start
2022-06-22
Estimated PCD
2024-06-01
Trial end
2026-06-01
Status
Recruiting
Phase
Early phase I
Treatment
Miltefosine 50mg
Oral Miltefosine 50mg bid
Arms:
Oral Miltefosine and Pentoxifylline for Cutaneous Leishmaniasis, Oral Miltefosine and Pentoxifylline for Mucous Leishmaniasis
Pentoxifylline 400mg
Oral Pentoxifylline 400mg tid
Arms:
Oral Miltefosine and Pentoxifylline for Cutaneous Leishmaniasis, Oral Miltefosine and Pentoxifylline for Mucous Leishmaniasis
Liposomal Amphotericin B
Intravenous 25 to 40mg/kg
Arms:
Intravenous Liposomal Amphotericin B for Cutaneous Leishmaniasis, Intravenous Liposomal Amphotericin B for Mucous Leishmaniasis
Size
100
Primary endpoint
Cure
90 days after the begin of treatment
Eligibility criteria
Inclusion Criteria:
* Active confirmed cutaneous leishmaniasis ou mucosal leishmaniasis
* Use of highly effective contraceptive method and a negative serologic pregnancy test (beta - HCG), if female in fertile phase
* Agree and sing informed consent form
Exclusion Criteria:
* Previous treatment with leishmanicidal drugs in the last 6 months
* Pre-treatment electrocardiographic changes that contraindicate the use of liposomal amphotericin B (QTc greater than 450ms)
* Serum creatinine or urea 1.5 times the upper limit of normal
* Patients with severe or decompensated liver, kidney, heart disease, Diabetes Mellitus
* history of any hypersensitivity reaction to liposomal amphotericin B, miltefosine and/or pentoxifylline
* Pregnant and breastfeeding women
* Patients with Acquired Immunodeficiency Syndrome (AIDS) or other immunodeficiency
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2', 'PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 100, 'type': 'ESTIMATED'}}
Updated at
2023-09-15
1 organization
3 products
3 indications
Organization
University of BrasiliaProduct
MiltefosineIndication
Leishmaniasis; BrazilianIndication
LeishmaniasisIndication
MucocutaneousProduct
PentoxifyllineProduct
Liposomal Amphotericin B